CPR Heart code BLS Combined
To avoid fatigue, when should team roles alternate providing compressions? - answer
every 5 cycles or 2 minutes
Which team role keeps track of interruptions in compressions? - answer timer/recorder
Which team role makes treatment decisions and assigns roles? - answer team leader
Which of the following are resuscitation triangle roles in a high-performance team? -
answer-AED/Monitor/Defibrillator
-compressor
-airway
While performing high-quality CPR, when do pauses in compressions typically occur? -
answer-intubation
-compressor switches
-defibrillation
-rhythm analysis
-pulse checks
Assesses the patient and provides compressions - answercompressor
Operates the AED and alternates with the Compressor after every 5 cycles or 2 minutes
to avoid fatigue - answermonitor/defibrillator
provides ventilation - answerairway
Assigning your team members to individual roles and outlining what each member
needs to do during the resuscitation attempt is an example of what element of high-
performance team dynamics? - answerclear roles and responsibilities
You and your team have initiated compressions and ventilation. The AED was attached,
and "no shock" was advised. Your team has continued CPR for 1 minute. You tell your
team in a respectful, clear, and calm voice, "Leslie, during the next analysis by the AED,
I want you and Justin to switch positions, and I want you to perform compressions for
the next cycle." Leslie replies, "Got it. Next time the AED analyzes, I will switch with
Justin and assume the role of Compressor."
This is an example of which element of high-performance team dynamics? -
answerclosed-loop communication
,As Team Leader, you notice that your Compressor is pushing too fast. It is important to
correct actions that are incorrect, but it is also important to be tactful when delivering
this correction to a colleague.
This is an example of what element of team dynamics? - answerconstructive
intervention
What action can you take as a team during and after a resuscitation attempt that helps
individual team members perform better and brings awareness to system strengths and
deficiencies? - answerdebriefing
AED special considerations - answerhairy chest, water, transdermal medicine patch,
implanted defibrillator or pacemaker, defibrillation for infants less than 1 year of age
Hairy chest - answer-if your AED has 1 set of pads and a razor, quickly shave the area
and then apply the pads
-if your AED has 2 sets of pads, use the first set to remove the hair. Apply the first set of
pads, press them down so they stick as much as possible, and quickly pull them off.
Then apply the new, second set of pads
Water - answer-if someone is lying in water, quickly move the victim to a dry area; if the
victim is lying is snow or a small puddle, use the AED
-if the chest is covered with water or sweat, wipe the chest before attaching the pads
Transdermal medicine patch - answer-do not place the pad directly over a medicine
patch
-take the patch off and quickly wipe the chest before you put on the pad
Implanted defibrillator or pacemaker - answer-if you see a lump indicating a device,
avoid placing the pad directly over it
Defibrillation for infants less than 1 year of age - answer-a manual defibrillator is
preferred rather than an AED
-if a manual defibrillator is not available, an AED with a pediatric does attenuator is
preferred
-if neither is available, you may use an AED without a pediatric dose attenuator
What are examples of effective team dynamics? - answerclear roles and responsibilities
debriefing
constructive intervention
knowledge sharing
always take the lead
What does a chest compression feedback device monitor? - answercompression rate
compression depth
chest recoil
, Mouth-to-mouth breaths: adults, children, and infants - answer-3 steps
-mouth-to-mouth breathing is a quick and effective way to provide oxygen to a victim
when a barrier mask is not available
-each breath you take contains 21% oxygen. When you provide a rescue breath, the air
you breathe into a victim contains about 17% oxygen
Step 1: mouth-to-mouth breaths: adults, children, and infants - answer-hold the victim's
airway open with a head tilt-chin lift
-pinch the nose closed with your thumb and index finger
Step 2: mouth-to-mouth breaths: adults, children, and infants - answer-take a regular
breath and seal your lips around the victim's mouth, creating an airtight seal
-give 1 breath and blow for 1 second
-watch for the chest to rise as you give each breath
Step 3: mouth-to-mouth breaths: adults, children, and infants - answer-give a second
breath (blowing for about 1 second) while watching for chest rise
Your adult friend suddenly collapse at home, and you determine she needs CPR. You
begin CPR, starting with chest compressions, and are about to deliver breaths by using
mouth-to-mouth breaths. You open the airway with a head tilt-chin lift.
What is the sequence of your next actions? - answer1. Pinch the nose and seal your
lips around the victim's mouth
2. Give 1 breath and blow for about 1 second
3. Watch for chest rise while giving the breath
4. Give a second breath (blowing for about 1 second, watching the chest rise)
Mouth-to-mouth-and-nose breathing: infants - answer3 steps
Step 1: mouth-to-mouth-and-nose breathing: infants - answeropen the infant's airway
with a head tilt-chin lift
Step 2: mouth-to-mouth-and-nose breathing: infants - answerplace your mouth over the
infant's mouth and nose to create an airtight seal
Step 3: mouth-to-mouth-and-nose breathing: infants - answergive one breath, blowing
for about 1 second. Watch for the chest to rise as you give the breath
What is a correct approach for AED pad placement for infants and children less than 8
years of age? - answeras indicated on the pad packages
What is the indication for mouth-to-mouth rescue breaths? - answerwhen a barrier
device is not available
Rescue breathing: adults - answer-give 1 breath every 6 seconds (10 breaths/min)